Claim total
$819.20
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1941-08-26
- Stop
- 1941-08-26
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Janette Fisher
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-7eae-a1eb8cf374be